Channel Jones, MSW | |
7610 40th St W Ste 300, University Place, WA 98466-3834 | |
(253) 830-6242 | |
Not Available |
Full Name | Channel Jones |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 7610 40th St W Ste 300, University Place, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386055267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CG60191618 (Washington) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Fundamental Behavioral Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699158600 PECOS PAC ID: 0345657979 Enrollment ID: O20210329000558 |
Mailing Address | Practice Location Address |
---|---|
Channel Jones, MSW 7610 40th St W Ste 300, University Place, WA 98466-3834 Ph: (253) 830-6242 | Channel Jones, MSW 7610 40th St W Ste 300, University Place, WA 98466-3834 Ph: (253) 830-6242 |
Kimberly Lynn Singh, M.A.,L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7406 27th St W Ste 1, University Place, WA 98466 Phone: 253-691-3945 | |
Maryann Hartman, CPC, BAS, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7610 40th St W Ste 300, University Place, WA 98466 Phone: 253-830-6242 | |
Avery Aleece Stanton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7610 40th St W, University Place, WA 98466 Phone: 253-830-6242 Fax: 534-333-1062 | |
Gordon Jablonski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3555 Market Pl W Apt 520, University Place, WA 98466 Phone: 253-448-4028 | |
Bridgette Noll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7610 40th St W Ste 300, University Place, WA 98466 Phone: 253-830-6242 | |
Christian Mbaeri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7610 40th St W Ste 300, University Place, WA 98466 Phone: 253-830-6242 | |
Kristy Gallegos, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7610 40th St W Ste 300, University Place, WA 98466 Phone: 253-830-6242 |